Errors in diagnosis and treatment of pulmonary embolism

Medvedev, A.P.; Fedorov, S.A.; Trofimov, N.A.; Tselousova, L.M.

doi:10.17116/kardio20211401154

Cited by 14 publications

(2 citation statements)

References 20 publications

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“…Wichmann, et al . (2021), which is based on a morphological study of patients with a life-time verified diagnosis of COVID-19 [14] . Morphological changes in the microvasculature with a targeted lesion of the distal segments of the pulmonary circulation and progressive endothelial dysfunction, just like the features of the clinical picture of PE, require the search for a comprehensive solution .…”

Section: Discussionmentioning

confidence: 99%

“…At the moment, the clinic has accumulated experience in the complex treatment of 9 patients with COVID-associated PE . Despite the objective severity of the studied patients, the change in the clinical picture, as well as the extent of the damage to the pulmonary arterial bed, the technique we used determined a 100% 30-day survival rate [14] .…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Surgical Treatment of Pulmonary Embolism Associated with COVID-19: First-Hand Experience

Fedorov¹,

Zhurko²,

Пичугин

et al. 2023

I.P. Pavlov Russian Medical Biological Herald

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INTRODUCTION: Venous thromboembolic complications occupy one of the central positions in the structure of complications associated with CoronaVirus Disease 2019 (COVID-19). Characterized by high epidemiological threshold values, as well as an atypical clinical picture, they determine the need for new approaches to early diagnosis and active treatment. Surgical treatment of pulmonary embolism in itself is an extremely controversial method of reperfusion of the pulmonary arterial bed. Concerning pulmonary embolism associated with a new coronavirus infection, we did not find a single clinical case reported in the available literature. The article considers a clinical case of surgical treatment of pulmonary embolism against the background COVID-19 infection, demonstrates a comprehensive approach to treatment and describes peculiarities of the clinical picture. CONCLUSION: Based on the presented case, one should note the importance of the anticoagulant therapy in a group of people with a virus-specific intervention to prevent recurrence of thromboembolic complications. Complex surgical treatment in combination with the proposed methods of anesthesiological support are the methods of choice in a group of people at intermediate-high and high risk of early cardiac death.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%